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Sumin Kim
General Practice Dentistry in Cicero, Illinois
NPI 1124720859

Sumin Kim is a General Practice Dentistry based in New York, IL and is specialized in General Practice. Sumin Kim practices in Cicero, IL. The NPI Number for Sumin Kim is 1124720859 and holds a License No. (Illinois).

The current practice location address for Sumin Kim is 2254 S Cicero Ave, Cicero, IL and can be reached out via phone at 708-656-2222.

Location: 2254 S Cicero Ave, Cicero, IL, 10016-7238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124720859
Provider Name
Sumin Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
2254 S Cicero Ave, Cicero, IL, 10016-7238
Phone Number
708-656-2222
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2254 S Cicero Ave
City
Cicero
State
Illinois
Zip
60804-2411
Phone Number
708-656-2222
Fax Number
person
Provider Business Mailing Address Details
Address
2254 S Cicero Ave
City
Cicero
State
Illinois
Zip
60804-2411
Phone Number
708-656-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.034426 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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